ACH Auto Debit Name E-mail Phone Number Vehicle Recurring Payment Amount Payment Due Date Payment Type —Please choose an option—Debit CardCredit CardChecking AccountSavings Account Card Type —Please choose an option—AMEXDiscoverMastercardVisa Card Number (No Dashes) Exp Date CVV Code Zip Code Bank Routing Number Bank Checking Number I hereby authorize Linwood Auto Sales to initiate preauthorized Electronic Funds Transfers (“auto-debit”) to the Installment loan account indicated above and from the financial institution named above pursuant to the terms and conditions set forth herein and as may be modified from time to time. I have read, understand, and agree to be bound by all of the terms and conditions of this authorization including the Agreement and Disclosure Information contained on the Terms & Conditions page. My authorization for auto-debit transfers for the designated Installment loan(s) shall continue in effect until the designated Installment loan(s) are paid in full or until this authorization is terminated by me or by Linwood Auto Sales in accordance with the terms of this authorization. I understand that my authorization for auto-debit may only be revoked in the manner set forth in this authorization.
